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Hypothyroid, anxiety, rheumatoid arthrit
My tsh was 9 before 90 days,then continue thyrox 12.5 but now tsh is 10.17, what should i do? today morning my BP was 109/66 and pulse rate 82, hemoglobin is 12.4, vitamin d3 is 34.5, vitamin b12 is 495, last year April 2013 i started thyrox 25 because my tsh was 5.7, continued for 14 days then discontinued because faster palpitation, in 25th may 2023 my tsh was 4.5, may 23 to sep 23 i had migrane problem,in july 23 to sep 23 i had anxiety problem because my mother died in hospital under treatment with ckd, cad, hypothyroid, hypertension, my physical fitness was very weak, i was unable to bicycling and walking just 1 km because my palpitation was faster than normal, in 7th sep 23 medicine specialist prescribed me escitalopram for anxiety, in just a single dose of that medicine used then started side effects like my palms feeling hot like near fire, faster palpitation, sweating from palms only and shaking of hands, and discontinued that medicine, above mentioned medicine are taking .
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Can help you with and treatment plan. Would like to discuss in details and provide apt solution. Kindly consult via whatsapp on nine zero two nine six zero zero four seven zero. next course of action
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See dosage adjustment is what required at this period . Can guide you.  There is already a family history so proper consultation with calls/visit/video is required  , simply dbt guide trust without proper consultation.  U r just 33 right now , there are easy way to deal. 
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connect will help u. 
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consult me , if u r not consulting kindly visit nearby hospital make appointment dnt delay.  that's it. Take care
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Dose adjustment needed kindly consult for detailed history.
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Need to discuss.. can u connect or WhatsApp on 959798368zero
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Repeat thyroid profile once again
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Repeat thyroid profile
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Do connect and consult Will help you
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Patient's detailed medical history is required. It is recommended to consult a doctor professional through the Practo app or visit a local medical facility for a thorough evaluation. Please keep in mind that detailed medical history is crucial for proper diagnosis and treatment.
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Based on the history provided, it seems like your thyroid levels are not adequately controlled despite taking thyroxine. Your TSH level of 10.17 indicates hypothyroidism, which may require an adjustment in your medication dosage. Additionally, it’s crucial to address any ongoing symptoms like palpitations, anxiety, and migraines, as they may be related to your thyroid condition or other underlying health issues
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Consult a MD medicine physician near you
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According to your query and sign and symptom you want to know about the disease and cause and it's best Treatment as you have mentioned as  above as you have mentioned in your query Please take consultation for better evaluation and best Treatment as it need complete history of patient as personal and family history. Please follow any medicine or advise after consultation only from a good doctor. Please follow good life style as • take plenty of fluid and • take less spicy and fatty foods and • take home made food only and do exercise regularly with yoga and meditation  and please keep positive  attitude to fight any disease and any problem of your life.
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Please take consultation for the best explanation of your problem.
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Please take any medicine after consultation from a good doctor
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Near by doctor
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Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Need few more details Kindly consult
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.